Attachment D - Past Performance Template V2.pdf

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Attached to
PASV - Broadcast Monitoring and Briefings - OPA
Solicitation number
15F06721R0000212
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This document contains a past performance template for contractors to submit references from three previous federal contracts or task orders. The template requests information including the federal agency and program name, contract or task order number, contractor's role, period of performance, award date, contract type, dollar amounts, scope of work, work volume, accomplishments, issues encountered, and additional comments. Contractors are to use this template to provide details on previous relevant contracts to demonstrate their ability to successfully perform the requirements of the federal opportunity for PASV - Broadcast Monitoring and Briefings for the Department of Justice Federal Bureau of Investigation Redstone Arsenal Field Office.

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1 Source Selection Information - See FAR 2.101 and 3.104

4. GEOGRAPHIC LOCATION(S) OF PERFORMED CONTRACT WORK:

(2) DOLLAR AMOUNT AT

COMPLETION:

(1) DOLLAR AMOUNT AT

AWARD:

B. IF THE CONTRACT / TASK

ORDER HAS BEEN

COMPLETED, PROVIDE THE

PROGRAM PRICE / COST:

A. CONTRACT TYPE

(E.G., T&M, FFP):

8. CONTRACT / TASK ORDER INFORMATION

C. COR / TASK MONITOR:

B. CONTRACTING OFFICER:

A. PROGRAM MANAGER:

7. CUSTOMER POINTS OF CONTACT (POC)

(PROVIDE NAMES, ADDRESSES, TELEPHONE NUMBERS, AND EMAIL ADDRESS FOR EACH POC BELOW)

6. PERIOD OF PERFORMANCE: 5. DATE OF AWARD:

RELEVANT EXPERIENCE TEMPLATE

This template may be modified to account for information that exceeds the amount of space provided.

However, the format must remain as provided. Use a separate template for each of the three contracts / task orders.

1. FEDERAL AGENCY /

PROGRAM NAME:

2. CONTRACT / TASK ORDER NUMBER: 3. ROLE

(PRIME OR

SUBCONTRACTOR):

C. IF THE CONTRACT HAS

NOT BEEN COMPLETED:

(1) CURRENT PRICE /

COST:

(2) CURRENT ESTIMATE

TO COMPLETE:

DESCRIBE HOW THE PREVIOUS W

REQUIREMENT'S STATEMENT OF

9. PROJECT SCOPE AND COMPLEXITY

ORK IS OF SIMILAR SIZE AND SCOPE TO THE REQUIREMENT IN THIS

WORK.

10. WORK VOLUME

(PROVIDE DETAILS ON HOW ANY DELIVERABLES FROM PREVIOUS CONTRACTS WERE PRODUCED AS THEY RELATE TO

THIS REQUIREMENT'S DELIVERABLES.)

11. MAJOR ACCOMPLISHMENTS AND INNOVATIVE SOLUTIONS

(DESCRIBE MAJOR ACCOMPLISHMENTS AND INNOVATIVE SOLUTIONS ADOPTED BY THE CUSTOMER AND ANY

AWARDS OR RECOGNITIONTHAT WERE RECEIVIED FOR SUPERIOR PERFORMANCE.)

12. ISSUES ENCOUNTERED

(DESCRIBE ANY ADVERSE PERFORMANCE ISSUES ENCOUNTERED DURING THE PERFORMANCE PERIOD AND

THE REMEDIAL ACTIONS TAKEN TO CORRECT THE ISSUES)

3 Source Selection Information - See FAR 2.101 and 3.104

13. ADDITIONAL COMMENTS

(PROVIDE ANY ADDITIONAL COMMENTS / INFORMATION CONTRACT DEEMS RELEVANT TO PAST

PERFORMANCE

File details come from the government source that posted it. Updated .